Have a program that investigates, controls and keeps infection from spreading

Harm: Minimal harm or potential for actual harm

Scope: Few

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms

Harm: Minimal harm or potential for actual harm

Scope: Some

Keep accurate, complete and organized clinical records on each resident that meet professional standards

Harm: Minimal harm or potential for actual harm

Scope: Few

Record of quarterly fire drills for each shift under varying conditions

Harm: Potential for minimal harm

Scope: Many

An approved installation, maintenance and testing program for fire alarm systems

Harm: Minimal harm or potential for actual harm

Scope: Many

Automatic sprinkler systems that have been maintained in working order

Harm: Potential for minimal harm

Scope: Many

Weekly inspections and monthly testing of generators

Harm: Potential for minimal harm

Scope: Many

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident

Harm: Minimal harm or potential for actual harm

Scope: Few

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured

Harm: Minimal harm or potential for actual harm

Scope: Few

Develop policies and procedures for influenza and pneumococcal immunizations

Harm: Minimal harm or potential for actual harm

Scope: Some

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms

Harm: Minimal harm or potential for actual harm

Scope: Some

Provide bedrooms that don't allow residents to see each other when privacy is needed

Harm: Minimal harm or potential for actual harm

Scope: Some

Did not have a written emergency evacuation plan

Harm: Minimal harm or potential for actual harm

Scope: Many

Properly maintained smoke detectors

Harm: Minimal harm or potential for actual harm

Scope: Some

Properly protected cooking facilities

Harm: Minimal harm or potential for actual harm

Scope: Some

Proper medical gas storage and administration areas

Harm: Minimal harm or potential for actual harm

Scope: Some

Other fire safety features required by fire safety codes

Harm: Minimal harm or potential for actual harm

Scope: Many

No-smoking signs where oxygen is used

Harm: Minimal harm or potential for actual harm

Scope: Some

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for

Harm: Minimal harm or potential for actual harm

Scope: Some

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property

Harm:Immediate jeopardy to resident health or safety

Scope: Few

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality

Harm:Immediate jeopardy to resident health or safety

Scope: Few

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured

Harm: Minimal harm or potential for actual harm

Scope: Some

Provide care by qualified persons according to each resident's written plan of care

Harm:Immediate jeopardy to resident health or safety

Scope: Few

Provide necessary care and services to maintain the highest well being of each resident